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The current research is designed to implement and evaluate the ePREP relationship intervention with couples via the Cooperative Extension system.
The objective of the research is to evaluate the effectiveness of an online intervention (ePREP) for help-seeking couples designed to promote individual and couple well-being. Newly developed online intervention programs for distressed couples have shown to be efficacious, but their overall reach to the general population remains limited. The current research is designed to implement and evaluate the ePREP relationship intervention with couples throughout the nation in a manner that allows for scalable, sustainable program delivery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ePREP condition | Experimental | The ePREP program is the online version of the Prevention and Relationship Enhancement Program. It consists of 6 self-directed online sessions and accompanying homework and brief coach calls. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ePREP | Behavioral | 6-session online psychoeducational program with supporting coach calls |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in relationship satisfaction | Couple satisfaction index | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in relationship instability | 3 item Relationship Instability measure (from Doss et al., 2020, Journal of Consulting and Clinical Psychology | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in partner support | 5 item Partner Support measure (from Doss et al., 2020, Journal of Consulting and Clinical Psychology | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in communication conflict | 4 item communication conflict measure (from Doss et al., 2020, Journal of Consulting and Clinical Psychology | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in relationship confidence | 4 item relationship confidence measure (from Stanley et al., 1994) | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in intervention-targeted behavior | PREP 3 keys and Couple Communal Identity (new measures created for this study) | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Change in partner aggression | 7 item partner aggression (from Doss et al., 2020, Journal of Consulting and Clinical Psychology | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in psychological distress |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Illinois Extension | Urbana | Illinois | 61820 | United States |
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Kessler 6 item psychological distress |
| Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in anger | NIH PROMIS 5 item anger measure | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in perceived stress | Cohen's 10 item perceived stress measure | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in general health | Short Form-36 4 item general health perceptions | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in insomnia | 7 item insomnia severity index | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in problematic alcohol use | Patient-Reported Outcomes Measurement Information System (PROMIS) 7 item problematic alcohol use | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |
| Change in exercise | 1 item exercise (Behavioral Risk Factor Surveillance System 2016 adaptation) | Baseline, Within one week of program completion (~2 months post-baseline), and 6-month follow-up from baseline |